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HomeMy WebLinkAboutPermit Mechanical 2009-10-8 ...... i .' '.' .. Mechanical Authorizatiou To Begiu Work 69600-BMC-09-00146 ,'. E-mailedTo:puhala22@comcast.net 10171~009 6:09 pm App~o,,"al Code: 054320 ":".'., ..,...... Check on status of permil By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us 10 NewConstruction '[j';'AdditionlwterntiOnlrep]ace'ment. Description I E. J . Tolo' """"",'1C'.!'t!iV.""",,,,-.t''',r~.r-=I' ;:"-J.i :'~-'. -_"';~~_";,~:\':.", I $79,001, 10 I ,,"_nily dw'~li"g ,0 Molti,'.mily ,0 C,~,,,i.1 o A"",,')' Boildin, Ifi1~!l;~!L~JOBTSifE1rNfoFtMATIONlAN01~()CATIO~~l~"';~ I Job Address: 415] FPRSVfHlAST ' I Cil)'fStatelZIP:. SPRINGF]E~D: O,R 97478 I SUitelbldg./Rpt.no,: .~;,-;: I ProjectNRme: I C"" S"""",,,,.,., ,,'job ,it" I Tax mRp/parcelno.: First App]ianceFee Subtotal Stijte surcharge (12% ofpe.mlit total) Technology fee (5% of permit total) TOTAL PERMIT HE $79.00 $9.48 $3.95 592.43 tq-\L\~ ~ \ 0 I 'B f oC\ install of free sta.nding wood stove I Name: MARIO PUHALA I Phone: 541-870-9795 Fax: I Em~il: puha]a22@comcast.net Ilh 'i,~', "'- ."'",1...._,' """"',....~~ '-",'0",,"..,.-'jUr'_"",if!? i",' """''''1 jj-o/~~i0:~;ifjEit&i:~~f\c:ONTRAGI()BA:,;.0'JM:-~-"!:*;'':?i~~:t1:~i.;.;~,:r"75-j![l, '7;l 1 CCBh,.nO:'I1726~<?FRMIT SHALL EXl"lKt Ir TH:.~v~JT 1 I BusmessNll.me: REo--HOTco~rn:t!lcrrI0rn.mil~ t"tt\IVIII loJ I" l-Ill! IIUIIII..l.. ......- ~ -C'..... I Cont"" r.nMMENCED OR IS At\AI~UVI~CU , u,. 1 Add",,, PO~~?lf21W[) 0 A ':{ PER IOU, I City/State/ZIP: EUGENE, OR 97402 I Phone: 54].870-9795 Fax; Email: ATTENTION: Oregon law requires you to foHow rules ~dopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090,. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), ' Metro lie. no.: Citylic.nu.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a penn it Is not obtained. _ t\ 0 The local building department may determine that an Authorization To Begin. ~ Work is null and vo~d if It does not meet applicable land use laws and local . ill\')\. 0 ordinances .. .s.;-l,\ Cb." ~ \Q':\ " ~ \O~oo. \Jv~ ~~ This Authorizati<?n To Begin Work must be posted at the job site until replaced by a Permit ': Status Issued . , CITy.; OF SPRINGFIELD Building/Cdmbination Permit PERMIT NO: C,OM2009-01486 ISSUED: 10/08/2009 APPLIED: 10/08/2009 EXPIRES: 04/08/2010 VALUE: 225 Fifth Street, Springfield, OR' 541-726-3753 Phone;:' 541-726-3676 Fax' : 541-726-3769Inspectiou Line SITE ADDRESS: ' 4151 FORSYTHIA ST ASSESSOR'S PARCEL NO,: 1802052200408 Spriugfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: TYPE OF USE: Install free standing wood stove iu residence I, " New~: Residential i Owner: ORTEGA JOSEFINA Address: '4151 FQRS'yTHIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor :" RED HOT CONSTRUCTION License 172640 ExpiratilJD Date I, 10/18{2010 Phone 541-870-9795 BUILDING INFORMATION I # of Units:, Primary Occnpaucy Gronp: Secondary Occupaucy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: ' , # of Stories: Height of Structure Type of Heat: Water Type: Rauge Type: Euergy Path: Sprinkled Buildiug: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: " Occupaut Load: " II "REQUIRED PARKING II I DEVELOPMENT INFORMATION I Froutyard Se.tback=CE' Overlay Dist: liTotal: Side 1 Setbac~:U I , . # Slreet Trees Rqd: IIHaudicapped: Side 2 Setback~~ ,PERMIT SHALL EXPIRE IF TH[!'~YtJ:fiWive Rqd: ATTENTION: Oregon la~l<Wiiipiicf,YDuto Rearyard Setoacl{:ORIZED UNDER THIS PERMIT'1:>'o~brt Coverage: follow rules adopted by the Oregon Utility Solar Setbaci{s':MMENCED OR IS ABANDONED FOUR' U Notification Center, ThosE) rules are set_foort1~ ^ 0."... ~_ _ .. _ . _ __...... r........j "n,l(\thr...."lnh nAR 9520 ,,,., 'uu OJt1, n:n,uu, I PUBLIC IMPROVEMEN~~;I"):' 'Yo-~ m~y obtain copies of the rules ny , , 'callin 'he center. (Note: the telephone b gSldewalk-Type:n Utility Notification num sr IUI 111v ,....11 ,;:l..... " . D~--'-.;o L/D0!1()..'<82-2344). ownspouts ral,n"s: .. Street Improvemeuts: Storm Sewer Available: Speciallnstructiou: Notes: " I Valuation Descriotion I Description Type of Constructiou $ Per Sq Ft or mnltiplier Square Footage or Bid Amouut Value Date Calculated Paee I of 2 225 Fifth Street,:Springjield, OR 541-726-3753 Pbone', . ' 541-726-3676 Fax 541-726-3769 Iuspection Line ,;. CITY OF SPRI~\:i1<lELD Building/Combination Permit PERMIT NO: COM2009-01486 ISSUED: ]0/08120'09 APPLIED: ]0/08/2009 EXPIRES: 04/08/2010 VALUE: Status Iss~ed" . ". " Total Value of Project ~ ',' Fees Pllid . Fee Descriptiou + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9,48 $3,95 $79.00 10/8/09 10/8/09 10/8/09 Receipt Number 3200900000000000698 3200900000000000698 3200900000000000698 Total A.rtOlint Paid $92.43 11 \ I o! ~ i ' ~. I I Plan Reviews I c To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will "be made the following work day. ReCII~iredlnsnections I Wood Stove: After lustallation. By signature, I state and agree, that I have carefully examined the completed application a'~d do hJreby certify that all , information hereon is true and correct, and I further certify that auy aud all work performed shall:he done iu accordauce with the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaining to the wJrk described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Commuuity Servi~es Division, Building Safety: I further certify that only contractors aud employees who are iu compliauce with ORS 701,005 will'be used ou this project. I further agree to ensure that all required inspections'are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the property, aud the approved set of plaus will remain on the site at all times during construction. Owner or Contractors Signature ,. :t Date Pa2e 2 on -"':.' 225 Fifth Street '" ' Springfield, Oregon 97477 54]-726-3759 Phone . , RECEIPT #: ". .' "1- '. '--,', ' Job/Journal Number:'~-:;~:1- Desctiption COM2009-01486 '.lstAppliailce ':" COM2009-01486 + 5% Technology Fee COM2009-01486 + 12% State Surcharge Payments: Type of Payment ONLINE CHGS cReceintl . .~.,;,. -- :'PaidIi/: : ",'ONLINE PERMITCHGS ~ '. ,.'- \, f:. '" ..<,...., ,. l' 1: " "f~~~~~~--~.,"--' ':,.,. *,~ " -- ~ ' .,..... ',' _._,~..,"..., -,.. "..' , City of SpriIlgtield Official Receipt !,' Developmerlt Services Department I' Public Works Department 3200900000000000698 Date: lO/0~/2009 , Received By KR Item Total: t:heck Number Authorization Batch Number Number How Received " ONLINE RED HOT Online CONSTRCT ION Payment Total: Page I of I I] :36:04AM Amount Due~ 79,00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 10/8/2009